Spine
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Randomized Controlled Trial Multicenter Study Comparative Study
Differences in the relationship between psychosocial distress and self-reported disability in patients with chronic low back pain in six pain rehabilitation centers in the Netherlands.
A cross sectional multicenter study in six outpatient Rehabilitation Centers (RCs) in the Netherlands. ⋯ The overall relationship between psychosocial distress and self reported disability was weak, and differences between RCs were considerable. This indicates that the relationship between psychosocial distress and disability in patients with CLBP is not uniform.
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Randomized Controlled Trial Comparative Study
Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica.
Cross sectional ⋯ The current study did not find evidence to support the accuracy of individual tests from the neurological examination in identifying the level of disc herniation demonstrated on MRI. A neurologist's overall impression was moderately accurate in identifying the level of disc herniation.
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Randomized Controlled Trial Comparative Study
The effects of therapeutic climbing in patients with chronic low back pain: a randomized controlled study.
A randomized controlled study investigated the effects of therapeutic climbing in patients with chronic low back pain. Before and after 4 weeks of training, physical and mental well-being were measured by two questionnaires (36-Item Short Form Health Survey [SF-36]; Hannover Functional Ability Questionnaire for measuring back pain-related disability [FFbH-R]). ⋯ The benefits of therapeutic climbing were comparable with those of a standard exercise regime. In two subscales of the SF-36, the benefits of therapeutic climbing exceeded those of standard exercise therapy, primarily in perceived health and physical functioning of the patients. This finding demonstrates that therapeutic climbing is equivalent and partly superior to standard exercise therapy for patients with chronic low back pain.